Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $180.00 / $903.87	Professional		$165.73	$180.00	$903.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $234.58 / $934.22	Professional		$152.94	$234.58	$934.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.24 / $140.44 / $290.06	Professional		$128.24	$140.44	$290.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.12 / $411.83 / $500.68	Professional		$266.12	$411.83	$500.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.54 / $333.51 / $1,308.32	Professional		$168.54	$333.51	$1,308.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $126.72 / $284.75	Professional		$76.01	$126.72	$284.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $323.41 / $465.60	Professional		$5.42	$323.41	$465.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $614.03 / $798.60 / $1,308.32	Professional		$614.03	$798.60	$1,308.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.03 / $975.80 / $975.80	Professional		$371.03	$975.80	$975.80
United Facility/Professional Professional Modifier Low / Median / High Price $168.54 / $293.97 / $699.97	Professional		$168.54	$293.97	$699.97